Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 9 de 9
Filter
Add filters

Language
Document Type
Year range
1.
European Respiratory Journal Conference: European Respiratory Society International Congress, ERS ; 60(Supplement 66), 2022.
Article in English | EMBASE | ID: covidwho-2285471

ABSTRACT

Introduction: not always hospital admission is in patients with SARS-COV2 pneumonia the best choice, if possible, being treated at home is better both for the patients, and for the health system that and can dedicated resources for who really need hospitalization. Aim of the study: to improve the condition of persistent respiratory difficulty in pts after the acute phase of SarsCov-2 infection by assigning exercises to be done independently at home. Method(s): from 07.10.20 to 31.01.22 we followed 503 families with COVID-19, the following were essential identifiers for the stay of patients at home: 1. the presence of a family with care-giver 2. ability to communicate and use whatsApp 3. family doctor and network specialist. Alongside drug therapy, we set up exercises to be carried out three times a day for 4 weeks independently, which would allow for better diaphragmatic recruitment, better mobility of the rib cage, lumbar spine and increased coordination between diaphragmatic and thoracic movement. Result(s): 503 families, 1509 pts, (8 hospitalized pts, 1 intubated, 4 deaths in hospitalized, 1 pulmonary embolism) of which 258 pts covid pneumonia, average age of 60.68 years. They requested from 8 days to 45 days, from 1 to 3 tele-contacts per day. Conclusion(s): using whatsApp, to follow up families in the COVID-19 pandemic at home represents an alternative to sending to the emergency room and hospitalization where there is a specialist with minimal equipment (ecotorax), pts able to follow the prescriptions provided via social media and submit clinical data daily. Important was the netwoth pharmacies for oxygen and drugs even on holidays and with the laboratory for blood sampling at home at a controlled cost.

2.
Italian Journal of Medicine ; 16(SUPPL 1):31, 2022.
Article in English | EMBASE | ID: covidwho-1913270

ABSTRACT

Introduction: Use telemedicine to follow COVID-19 patients at home avoiding hospitalization. Objects: Safely avoid hospitalization and in any case guarantee high-level assistance, limit infections and unnecessary travel. Methods: From 30.03.20 to 31.05.21 we followed 503 families with COVID-19, at home if the following requirements were met: 1. care giver;2. the suitability of the house;3. the possession of a telephone with an internet network to provide the doctor with clinical data and to receive and tutorials;4. pulse oximeter. Therapies were modulated in relation to severity according to the guidelines, noting SPO2, walking test, respiratory rate, fever. Chest ultrasound was performed, according to the Soldiers score. set therapy with Prednisone 0.5-1 mg/kg/day, LMWH, Azithromycin 500, vitamin D 50.000U. All patients received 6 diaphragmatic breathing tutorials. Results: 503 families (1509 pt), 8 hospitalized, 4 men and 4 women four died in hospital. 2 cases of pulmonary embolism. The duration of treatment was from 8-45 days, from 1-3 contacts per day, from 4 to 48 messages per nucleus/day. Conclusions: WhatsApp is a way to monitor patients in the COVID- 19 pandemic, with minimal equipment (ultrasound), patients able to follow the prescriptions provided via social networks and present clinical data daily. Important was the network with the pharmacies for oxygen and drugs even on holidays and with the laboratory for blood sampling at home at a controlled cost.

3.
Italian Journal of Medicine ; 16(SUPPL 1):71, 2022.
Article in English | EMBASE | ID: covidwho-1913220

ABSTRACT

About 38% of patients admitted to the high-intensity ward during the SARS-CoV-2 pandemic died in hospital. These are elderly patients (average 82 years) with multiple pathologies. Case report: We describe the case of the death of a 70-yearold woman from SRI Lanka, of Buddhist religion, with bulbar amyotrophic lateral sclerosis, severe malnutrition, thin 29 kg, 158 cm tall, anemic, despite PEG nutrition, language barrier problems but without cognitive or sensory impairment. She had been followed at home for 4 years, no respiratory problems, she was taken to the emergency room for worsening dyspnea in suspicion of ab-ingestis pneumonia. Recognized carrier of interstitial pneumonia from SARS-CoV-2. Despite the therapies set (oxygen, antibiotics, steroids, with low molecular weight heparin, total parenteral nutrition, hydration and electrolytes) the conditions worsened rapidly. We then communicated the imminent death of the joint to the relatives. The main care-giver granddaughter, well integrated, who understands the Italian language, asked to set up a group with whatsApp in order to see and greet her mother one last time. The 4 children (2 in Sri Lanka), and the 12 grandchildren formed a whatsApp group. They asked for another occasion to celebrate the milk rite with an elderly officiant. The rite took place with the patient very awake and present, gathered in prayer, all the relatives connected with the tablet: the doctor carried out the milk rite on the recommendation of the connected officiant from Sri Lanka, then they said a Christian prayer in homage to the staff, thanking them.

4.
Italian Journal of Medicine ; 16(SUPPL 1):13-14, 2022.
Article in English | EMBASE | ID: covidwho-1912938

ABSTRACT

Background and Aim of the study: Many patients affected by COVID-19 after having been declared “recovered” show the so called “long covid syndrome”: a series of signs and symptoms which resist for weeks after the clinical healing. Materials and Methods: We studied 11 patients between 30 and 75 years old with diagnosis of COVID19 and then declared healed. All patients have been treated at home with light or moderate respiratory symptoms. Patients with cardio-pulmonary conditions, tumors or metabolic diseases were cut out from the study. During the study patients were monitored for SpO2 and heart rate frequency. Patients were treated with respiratory rehabilitation, soft tissues manipulation and specific exercises to improve lung capacity. Results: After the treatment all patients referred a reduction of the chest oppression and better dilatation of the chest. Saturation improved from treatment to treatment (average before treatments: 93,7% RV 87 - 95. Average after treatments: 98,7% RV 97-99) with an average improvement of 5% in Sp O2. Conclusions: The study involved a limited number of patients because of difficulties in recruiting but the results are indicative of the effectiveness of a non pharmacological intervention that can help patient in recovering after COVID-19. A wider diffusion of the culture of physical treatment both among physicians and patients may help to contain the spreading of the “long covid syndrome”.

5.
Italian Journal of Medicine ; 16(SUPPL 1):80, 2022.
Article in English | EMBASE | ID: covidwho-1912937

ABSTRACT

Those who have faced SARS-Cov-2 disease have a 60% higher risk of developing mental disorders within a year of infection. Anxiety, depression and sleep problems are the most frequent. A research published in the British Medical Journal highlights how the risk is greater among those who have had a severe form of the disease, but also emerges among those who have not needed hospitalization. Less than a year after infection, among the healed there is an increase in diagnosis or prescription of drugs for mental disorders equal to 64 cases more per 1,000 people than those who have not contracted the virus. In particular, among those who had become ill there was an increase of 24 cases of sleep disorders per 1,000 people, 15 cases per 1,000 of depressive symptoms, 11 per 1,000 of neurocognitive decline and 4 per 1,000 of substance use disorders (excluding opioids). The gut microbiota has been associated with a plethora of disorders, including some pathologies involving the brain. Recently, a group of researchers found that patients with major depressive disorder (MDD) have a different microbial “signature” than healthy people. The findings, published in Science Advances, suggest that patients with depression are characterized by alterations in the gut microbiota, and previous studies have found that depressed people have alterations in the gut microbiota. Proper diet and nutrition in order to replenish the gut microbiome can promote good mental balance and help prevent mental disorders as much as good mental hygiene can help counteract gastrointenstinal disorders.

6.
European Respiratory Journal ; 58:3, 2021.
Article in English | Web of Science | ID: covidwho-1700040
8.
Italian Journal of Medicine ; 15(3):71, 2021.
Article in English | EMBASE | ID: covidwho-1567763

ABSTRACT

Background and Aim: Pulmonary involvement from CoViD-19 is frequent, after acute phase dyspnoea, cough, desaturation, respiratory insufficiency, can persist, pneumonia leads to interstitial disease (ground- glass) and to pulmonary fibrosis (honeycomb lung). A diagnostic algorithm can be a simple way for differential diagnoses (pulmonary embolism, PE) and to set up therapies in a systematic way. Our objective was to propose a simple and easy diagnostic algorithm, to identify with chest CT scan, excluding PE in high dimer- D patients, suggestive gait test and compatible objectivity. Methods: Prescription of: blood tests, radiological (CT chest CMC or High Resolution), respiratory physiopathology (Walking test, Global spirometry, Plethysmography, DLCO). Set drug therapies in case of PE, oral steroid (OCS) in case of extensive interstitial disease, long-acting beta 2 agonist bronchodilators (LABA), antimuscarinics (LAMA), inhaled steroids (ICS). For fibrosis and a honeycomb pattern, treatment with dipalmitoylethanolamide (PEA). Results: 258 outpatients, average 60.68 years, 115 women, 143 men, with an urgent request for pneumological visit and treated on an outpatient basis. 1 pt died during treatment, 4 pts were diagnosed with pulmonary embolism. 4 pts required a prescription for oxygen therapy. 228 pts presented ground-glass, 30 pts showed normal chest CT. Conclusions: DLCO shows progressive improvement in values after ICS treatment. Small pathway deficiency evidenced by spirometry can be treated with LABA-LAMA especially in patients with a previous history of cigarette smoking or COPD.

9.
Italian Journal of Medicine ; 15(3):9, 2021.
Article in English | EMBASE | ID: covidwho-1567708

ABSTRACT

Aim of the study: The aim of the study was to determine the influence of fascial and soft tissue treatment on respiratory efficiency and chest mobility of men and women between 22 and 54 years old. Materials and Methods: Subjects between 22 and 54 y.o., vaccinated or healed from CoViD-19 and without any other pathologies were recruited. Fascial and soft tissues manual treatment was made on mesentery's roots, right pillar of diaphragm and ileocecal valve. Spirometry was executed before and after the treatment. Patients had been adequately instructed on how to make a spirometry. Results: FEV1 showed an average increase of 2% meanwhile FEF2575 showed an average increase of 14.38% [from 0.26% to 31.76%]. Conclusions: Although FEV1's improvement is not indicative, there is an improvement in FEF2575 indicating better spontaneous return of the diaphragm to its resting state after the treatment. The treatment doesn't act on filling because we have seen that the increase in FEV1 is not significant but it affects emptying so it could be interesting to evaluate how patients are able, after the treatment, to better empty themselves and, since better emptying is a prerequisite for better filling, whether and how the residual functional capacity improves. It is as if with the treatment we had made patients learn to better empty themselves, getting therefore a more elastic return of the diaphragm in its relaxed position. There is a gain except for smokers who always remain hyperinflated emphasizing then how the share of emphysema is already measurable for the smoker.

SELECTION OF CITATIONS
SEARCH DETAIL